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Long-term unmet needs and associated factors in stroke or TIA survivors: An observational study


Olaiya, MT and Cadilhac, DA and Kim, J and Nelson, MR and Srikanth, VK and Andrew, NE and Bladin, CF and Gerraty, RP and Fitzgerald, SM and Phan, T and Frayne, J and Thrift, AG, on behalf of the STANDFIRM (Shared Team Approach Between Nurses and Doctors for Improved Risk Factor Management) Investigators, Long-term unmet needs and associated factors in stroke or TIA survivors: An observational study, Neurology, 89, (1) pp. 68-75. ISSN 0028-3878 (2017) [Refereed Article]


Copyright Statement

2017 American Academy of Neurology

DOI: doi:10.1212/WNL.0000000000004063


Objective: To extensively investigate long-term unmet needs in survivors of stroke or TIA and to identify factors associated with these unmet needs.

Methods: Community-dwelling adults were invited to participate in a survey ≥ 2 years after discharge for stroke/TIA. Unmet needs were assessed across 5 domains: activities and participation, environmental factors, body functions, post-acute care, and secondary prevention. Factors associated with unmet needs were determined with multivariable negative binomial regression.

Results: Of 485 participants invited to complete the survey, 391 (81%) responded (median age 73 years, 67% male). Most responders (87%) reported unmet needs in ≥1 of the measured domains, particularly in secondary prevention (71%). Factors associated with fewer unmet needs included older age (incident rate ratio [IRR] 0.62, 95% confidence interval [CI] 0.50-0.77), greater functional ability (IRR 0.33, 95% CI 0.17-0.67), and reporting that the general practitioner was the most important in care (IRR 0.69, 95% CI 0.57-0.84). Being depressed (IRR 1.61, 95% CI 1.23-2.10) and receiving community services after stroke (IRR 1.45, 95% CI 1.16-1.82) were associated with more unmet needs.

Conclusions: Survivors of stroke/TIA reported considerable unmet needs ≥ 2 years after discharge, particularly in secondary prevention. The factors associated with unmet needs could help guide policy decisions, particularly for tailoring care and support services provided after discharge.

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiology (incl. cardiovascular diseases)
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Nelson, MR (Professor Mark Nelson)
UTAS Author:Srikanth, VK (Dr Velandai Srikanth)
ID Code:122137
Year Published:2017
Web of Science® Times Cited:30
Deposited By:Menzies Institute for Medical Research
Deposited On:2017-11-02
Last Modified:2022-08-30
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